Revival Mental Health LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1922721083

Revival Mental Health LLC is a Mental Illness Community Based Residential Treatment Facility in Fountain Valley, California. Registered with an NPI since 2022.

In the registry since: 2022

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

9879 Hamilton Ave
Fountain Valley, CA 92708-5117
Phone: (949) 606-4681

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary)	Taxonomy 320800000X

Record details

NPI number	1922721083
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Tyler Michaelis — Managing Member · (949) 606-4681
NPI enumerated	September 23, 2022
Last updated in NPPES	January 10, 2024
Certification date	January 10, 2024
Mailing address	9879 Hamilton Ave, Fountain Valley, CA 92708-5117